A comparison of efficacies of holmium YAG laser, and pneumatic lithotripsy in the endoscopic treatment of ureteral stones
Identifieur interne : 000026 ( Pmc/Corpus ); précédent : 000025; suivant : 000027A comparison of efficacies of holmium YAG laser, and pneumatic lithotripsy in the endoscopic treatment of ureteral stones
Auteurs : Ekrem Akdeniz ; Lokman Rk Lata ; Hüseyin Cihan Demirel ; Acun Sayl K ; Mustafa Suat Bolat ; Necmettin Ahinkaya ; Mehmet Zengin ; Mustafa Kemal AtillaSource :
- Turkish journal of urology [ 2149-3235 ] ; 2014.
Abstract
We aimed to compare the effectiveness of holmium YAG laser and pneumatic lithotripsy in the treatment of ureteral stones.
A total of 216 patients who had established indications of ureteroscopy between November 2011 and June 2012 were included in this study. Patients’ files were retrospectively reviewed by dividing cases as groups that underwent pneumatic (PL) or laser lithotripsy (LL) procedures. Age, sex, stone burden and localization, duration of follow-up, operative times were evaluated. Stone-free rates were evaluated by ureteroscopical examination, postoperative scout films and ultrasonography.
Group PL consisted of 109 and group LL of 107 patients. Median age was 43.93±15.94 years in Group PL and 46.15±14.54 years in Group LL. Male to female ratio, stone burden and localization were similar for both groups. Overall success rate was 89.9% in Group PL and 87.9% in Group LL, respectively (p<0.791). With the aid of additional procedures, success rate was 100% for both groups at the end of the first month. Groups were not different as for operative time, rate of insertion of an ureteral catheter and its removal time. Hospitalization period was apparently somewhat shorter in Group LL (p=0.00).
Pneumatic lithotripsy can be as efficacious as laser lithotripsy and be used safely in the endoscopic management of ureteral stone. In comparison of both methods, we detected no differences as to operative time, success of operation and the time to removal of the catheter, however, hospitalization period was shorter in Group LL.
Url:
DOI: 10.5152/tud.2014.46548
PubMed: 26328167
PubMed Central: 4548394
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PMC:4548394Le document en format XML
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<author><name sortKey="Akdeniz, Ekrem" sort="Akdeniz, Ekrem" uniqKey="Akdeniz E" first="Ekrem" last="Akdeniz">Ekrem Akdeniz</name>
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<author><name sortKey=" Rk Lata, Lokman" sort=" Rk Lata, Lokman" uniqKey=" Rk Lata L" first="Lokman" last=" Rk Lata">Lokman Rk Lata</name>
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<author><name sortKey="Demirel, Huseyin Cihan" sort="Demirel, Huseyin Cihan" uniqKey="Demirel H" first="Hüseyin Cihan" last="Demirel">Hüseyin Cihan Demirel</name>
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<author><name sortKey="Sayl K, Acun" sort="Sayl K, Acun" uniqKey="Sayl K A" first="Acun" last="Sayl K">Acun Sayl K</name>
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<author><name sortKey="Bolat, Mustafa Suat" sort="Bolat, Mustafa Suat" uniqKey="Bolat M" first="Mustafa Suat" last="Bolat">Mustafa Suat Bolat</name>
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<author><name sortKey=" Ahinkaya, Necmettin" sort=" Ahinkaya, Necmettin" uniqKey=" Ahinkaya N" first="Necmettin" last=" Ahinkaya">Necmettin Ahinkaya</name>
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<author><name sortKey="Zengin, Mehmet" sort="Zengin, Mehmet" uniqKey="Zengin M" first="Mehmet" last="Zengin">Mehmet Zengin</name>
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<author><name sortKey="Atilla, Mustafa Kemal" sort="Atilla, Mustafa Kemal" uniqKey="Atilla M" first="Mustafa Kemal" last="Atilla">Mustafa Kemal Atilla</name>
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<author><name sortKey="Akdeniz, Ekrem" sort="Akdeniz, Ekrem" uniqKey="Akdeniz E" first="Ekrem" last="Akdeniz">Ekrem Akdeniz</name>
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<author><name sortKey=" Rk Lata, Lokman" sort=" Rk Lata, Lokman" uniqKey=" Rk Lata L" first="Lokman" last=" Rk Lata">Lokman Rk Lata</name>
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<author><name sortKey="Demirel, Huseyin Cihan" sort="Demirel, Huseyin Cihan" uniqKey="Demirel H" first="Hüseyin Cihan" last="Demirel">Hüseyin Cihan Demirel</name>
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<author><name sortKey="Sayl K, Acun" sort="Sayl K, Acun" uniqKey="Sayl K A" first="Acun" last="Sayl K">Acun Sayl K</name>
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<author><name sortKey="Bolat, Mustafa Suat" sort="Bolat, Mustafa Suat" uniqKey="Bolat M" first="Mustafa Suat" last="Bolat">Mustafa Suat Bolat</name>
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<author><name sortKey=" Ahinkaya, Necmettin" sort=" Ahinkaya, Necmettin" uniqKey=" Ahinkaya N" first="Necmettin" last=" Ahinkaya">Necmettin Ahinkaya</name>
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<author><name sortKey="Zengin, Mehmet" sort="Zengin, Mehmet" uniqKey="Zengin M" first="Mehmet" last="Zengin">Mehmet Zengin</name>
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<author><name sortKey="Atilla, Mustafa Kemal" sort="Atilla, Mustafa Kemal" uniqKey="Atilla M" first="Mustafa Kemal" last="Atilla">Mustafa Kemal Atilla</name>
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<series><title level="j">Turkish journal of urology</title>
<idno type="ISSN">2149-3235</idno>
<idno type="eISSN">2149-3057</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective:</title>
<p>We aimed to compare the effectiveness of holmium YAG laser and pneumatic lithotripsy in the treatment of ureteral stones.</p>
</sec>
<sec><title>Material and methods:</title>
<p>A total of 216 patients who had established indications of ureteroscopy between November 2011 and June 2012 were included in this study. Patients’ files were retrospectively reviewed by dividing cases as groups that underwent pneumatic (PL) or laser lithotripsy (LL) procedures. Age, sex, stone burden and localization, duration of follow-up, operative times were evaluated. Stone-free rates were evaluated by ureteroscopical examination, postoperative scout films and ultrasonography.</p>
</sec>
<sec><title>Results:</title>
<p>Group PL consisted of 109 and group LL of 107 patients. Median age was 43.93±15.94 years in Group PL and 46.15±14.54 years in Group LL. Male to female ratio, stone burden and localization were similar for both groups. Overall success rate was 89.9% in Group PL and 87.9% in Group LL, respectively (p<0.791). With the aid of additional procedures, success rate was 100% for both groups at the end of the first month. Groups were not different as for operative time, rate of insertion of an ureteral catheter and its removal time. Hospitalization period was apparently somewhat shorter in Group LL (p=0.00).</p>
</sec>
<sec><title>Conclusion:</title>
<p>Pneumatic lithotripsy can be as efficacious as laser lithotripsy and be used safely in the endoscopic management of ureteral stone. In comparison of both methods, we detected no differences as to operative time, success of operation and the time to removal of the catheter, however, hospitalization period was shorter in Group LL.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Turk J Urol</journal-id>
<journal-id journal-id-type="iso-abbrev">Turk J Urol</journal-id>
<journal-id journal-id-type="publisher-id">TJU</journal-id>
<journal-title-group><journal-title>Turkish journal of urology</journal-title>
</journal-title-group>
<issn pub-type="ppub">2149-3235</issn>
<issn pub-type="epub">2149-3057</issn>
<publisher><publisher-name>Turkish Association of Urology</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26328167</article-id>
<article-id pub-id-type="pmc">4548394</article-id>
<article-id pub-id-type="doi">10.5152/tud.2014.46548</article-id>
<article-id pub-id-type="publisher-id">tju-40-3-138</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Endourology</subject>
<subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>A comparison of efficacies of holmium YAG laser, and pneumatic lithotripsy in the endoscopic treatment of ureteral stones</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Akdeniz</surname>
<given-names>Ekrem</given-names>
</name>
<xref ref-type="corresp" rid="c1-tju-40-3-138"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>İrkılata</surname>
<given-names>Lokman</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Demirel</surname>
<given-names>Hüseyin Cihan</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Saylık</surname>
<given-names>Acun</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Bolat</surname>
<given-names>Mustafa Suat</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Şahinkaya</surname>
<given-names>Necmettin</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Zengin</surname>
<given-names>Mehmet</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Atilla</surname>
<given-names>Mustafa Kemal</given-names>
</name>
</contrib>
<aff id="af1-tju-40-3-138">Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey</aff>
</contrib-group>
<author-notes><corresp id="c1-tju-40-3-138">Correspondence: Ekrem Akdeniz, Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey, Phone: +90 362 311 15 00, E-mail: <email>ekremakdeniz@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>9</month>
<year>2014</year>
</pub-date>
<volume>40</volume>
<issue>3</issue>
<fpage>138</fpage>
<lpage>143</lpage>
<history><date date-type="received"><day>09</day>
<month>4</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>30</day>
<month>5</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>©Copyright 2014 by Turkish Association of Urology</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><sec><title>Objective:</title>
<p>We aimed to compare the effectiveness of holmium YAG laser and pneumatic lithotripsy in the treatment of ureteral stones.</p>
</sec>
<sec><title>Material and methods:</title>
<p>A total of 216 patients who had established indications of ureteroscopy between November 2011 and June 2012 were included in this study. Patients’ files were retrospectively reviewed by dividing cases as groups that underwent pneumatic (PL) or laser lithotripsy (LL) procedures. Age, sex, stone burden and localization, duration of follow-up, operative times were evaluated. Stone-free rates were evaluated by ureteroscopical examination, postoperative scout films and ultrasonography.</p>
</sec>
<sec><title>Results:</title>
<p>Group PL consisted of 109 and group LL of 107 patients. Median age was 43.93±15.94 years in Group PL and 46.15±14.54 years in Group LL. Male to female ratio, stone burden and localization were similar for both groups. Overall success rate was 89.9% in Group PL and 87.9% in Group LL, respectively (p<0.791). With the aid of additional procedures, success rate was 100% for both groups at the end of the first month. Groups were not different as for operative time, rate of insertion of an ureteral catheter and its removal time. Hospitalization period was apparently somewhat shorter in Group LL (p=0.00).</p>
</sec>
<sec><title>Conclusion:</title>
<p>Pneumatic lithotripsy can be as efficacious as laser lithotripsy and be used safely in the endoscopic management of ureteral stone. In comparison of both methods, we detected no differences as to operative time, success of operation and the time to removal of the catheter, however, hospitalization period was shorter in Group LL.</p>
</sec>
</abstract>
<kwd-group><kwd>Laser lithotripsy</kwd>
<kwd>pneumatic lithotripsiy</kwd>
<kwd>ureteroscopy</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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